Pediatric Critical Care Medicine
The multi-disciplinary "Just for Kids" Critical Care Center treats children with severe medical illnesses and supports a variety of programs, such as the Pediatric Trauma, Cardiovascular Surgery and Organ Transplantation.
A variety of medical and surgical conditions that require intensive monitoring are cared for daily in a family oriented atmosphere. Diagnoses frequently encountered include shock, trauma, traumatic brain injuries, ingestions/poisonings, status epilepticus, status asthmaticus, diabetic ketoacidosis, pediatric respiratory failure, congenital heart disease, metabolic abnormalities and cardiac dysrhythmias. Patients with complex surgical needs, including cardiovascular and neurosurgical operations, are also cared for in the Critical Care Center.
One member of the division serves as Director of Transport. We serve as medical control providing air (fixed wing and helicopter) and ground transportation of infants and children by a critical care neonatal/pediatric team through our Just for Kids Transport Service.
The Children’s Hospital Pediatric Intensive Care Unit currently has 26 beds. We make every effort to provide family centered care including a sleeping room for parents, dedicated critical care waiting room, and a meditation room. We strive to include our parents in our rounding process and make family satisfaction a priority.
The Division of Critical Care Medicine provides procedural sedation services through the University Children's Sedation Service. Services are provided to both inpatients and Hematology-Oncology patients at Children's Hospital. The service safely sedates around 1,100 patients annually.
One member of the Division directs the palliative care medicine services at Children's Hospital through the.
Research interests of the division include patient safety, procedural sedation and analgesia, pharmacokinetics, education, patient simulation and pediatric acupuncture. Members of the Division of Critical Care Medicine participate in research through the .
A robustenhances the academic experience for the entire health care team. By providing a high-fidelity, true-to-life experience using mannequins with real-time computerized and personal feedback, our clinicians, nurses, and therapists can refine their skills, develop improved team dynamics, and proactively work to continue to provide world-class care.
Two physicians evaluate patients and perform all acupuncture and alternative therapy treatments.
The division has an accredited Pediatric Critical Care Medicine fellowship training program. For 2012, our Pediatric Critical Care fellows had a 100% critical care board pass rate.
|Clinical and Scholarly Fast Facts||Totals for 2013|
Just For Kids Critical Care Center Admissions
|Just For Kids Critical Care Center Patient Days||7,929|
|Hearts and Hands Palliative Care Service Consultations||289|
|Hearts and Hands Palliative Care Service End of Life care||51|
|Acupuncture Service Pediatric Outpatient Visits||474|
|Acupuncture Service Pediatric Inpatient Consultations||12|
Simulation Training Outreach 2013; UofL Adult ED Residency Program, UofL 4th Year Medical Students (Practical Pediatrics), Bellarmine Nursing School, Jewish South ED, Jewish East ED, Jewish Southwest ED, Glasghow EMS, Bowling Green EMS, Norton Audubon ED, Kentucky High School students vis the PEPP program, Boy Scouts of America (Camp Philmont), Kentucky State Trauma Providers Consortium, Frazier Rehabilitation Center, Manuel High School, Children and Youth Project
|PICU Overall Press Ganey Average Score||94.95 %|
|PICU Standardized Mortality rate using PRISM 3 data from 2009 (Values less than 1 indicate observed mortality is less than predicted mortality.)||0.93|
Blood Stream Infection rate:
|2.16/1000 catheter days|
|Ventilator-Associated Pneumonia Rate||0.36/1000 ventilator days|
|Urinary Catheter Infection Rate||3.41/1000 catheter days|
|Continue to participate in the Children's Hospital Association PICU focus group with active clinical research participation in unplanned extubations, ventilator associated pneumonia, nutrition, staff resilience, delirium in the PICU and implementing transfusion thresholds|
Peer-reviewed publications containing original data
|Invited national lectures||6|
|Unfunded Medical Student Projects||3|
|Unfunded Resident Projects||1|
|Funded (NIH subcontracts)||6|
|Funded (Other) Investigator Initiated||1|